ADAM RANDEL OSBORNE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1093068991

ADAM RANDEL OSBORNE (CRNA) is a healthcare provider. based in Peoria, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 209009909 (IL). The NPI Number for ADAM RANDEL OSBORNE (CRNA) is 1093068991

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
ADAM RANDEL OSBORNE (CRNA)
NPI
1093068991
Phone
(309) 672-5050
Address
221 NE GLEN OAK AVE
Enumeration Date
17 October 2012
Last Update Date
17 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3097621952
Graduation Year
2012 (14 years ago)
PAC ID
4587801857
Group Practice PAC ID
9133550544
Professional Enrollment ID
I20130503000247
Address ID
IL612656152MO520XXDRXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for ADAM RANDEL OSBORNE (CRNA)

  • 221 NE GLEN OAK AVE

    PEORIA, IL 616360001

    Phone: (309) 672-5050

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $115.

Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($90).

Total Amount

$115

General + Research + Ownership

Payments

2

Total payment records

General Amount

$115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130503000247ICertified Registered Nurse Anesthetist (Crna)ILTBD
I20220804001740ICertified Registered Nurse Anesthetist (Crna)IATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)1919$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand1717$0
01940Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance1515$0
01630Anesthesia for other procedure on top of arm bone and shoulder joint1212$0
View full utilization report →

Insurance plans in this area (ZIP 61636)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133550544View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna), Nurse PractitionerIA
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

Can I verify ADAM RANDEL OSBORNE (CRNA) with an NPI only?
You can start verification with NPI 1093068991 for ADAM RANDEL OSBORNE (CRNA), then check state licensing separately.
Does CMS list ADAM RANDEL OSBORNE (CRNA) as active?
Yes — ADAM RANDEL OSBORNE (CRNA) is active in the NPI listing used on this page.
What healthcare role does ADAM RANDEL OSBORNE (CRNA) hold?
Scheduling teams often label ADAM RANDEL OSBORNE (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is ADAM RANDEL OSBORNE (CRNA) based?
ADAM RANDEL OSBORNE (CRNA) is tied to Peoria, Illinois in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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